Man in the Mirror Therapeutic Services

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1499 Issued in NC

Legal business name

MAN IN THE MIRROR THERAPEUTIC SERVICES

Practice address

312 W Millbrook Rd
Suite 137
Raleigh, NC 27609-4389

Phone

(919) 798-4659

NPI assigned

Oct 29, 2013

Organization subpart

Yes

Parent organization

VALERIE COPELANDAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Valerie Voncyle Copeland, MA, LMFT

Title

Marriage and Family Therapist

Phone

(919) 798-4659

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Valerie Copeland Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1104254234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 W MILLBROOK RD",
            "address_2": "SUITE 137",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094389",
            "telephone_number": "919-798-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 W MILLBROOK RD",
            "address_2": "SUITE 137",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094389",
            "telephone_number": "919-798-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAN IN THE MIRROR THERAPEUTIC SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VALERIE COPELAND",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "VONCYLE",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "919-798-4659",
        "authorized_official_credential": "MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568805216",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valerie Copeland",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kayla Marie Malone
• Kristin Schmidt Malone, PHARMD
• Katherine Patterson Maloney, PHD
• Amanda Maloy, LCMHC
• Danielle Victoria Mamola, CRNA
• Management Consultants Pro LLC
• Management Consultants Pro. LLC
• Ureena Manandhar, M.B.B.S.
• Carissa Anne Manaro, LCSWA
• Anton Travis Manasco, MD

• Marriage & Family Therapist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.